仰卧悬吊复位法配合球囊扩张椎体成形术治疗骨质疏松性椎体压缩骨折

Treatment of osteoporotic vertebral compression fractures with supine suspension reduction and percutaneous kyphoplasty

目的探讨仰卧悬吊复位法配合球囊扩张椎体成形术治疗胸腰段骨质疏松性椎体压缩性骨折的临床效果。方法对45例骨质疏松性椎体骨折患者(均为单个椎体骨折),行仰卧悬吊复位法配合球囊扩张椎体成形术进行治疗。对术前术后椎体高度(前缘、中部、后缘)及Cobb角进行对比。结果术后胸背部疼痛明显改善,术后椎体前缘、中部高度及Cobb角显著改善。结论仰卧悬吊复位法配合球囊扩张椎体成形术治疗胸腰段椎体压缩性骨折具有微创、安全、临床疗效良好的优点,是治疗骨质疏松性椎体压缩骨折理想方法之一。

Objective To assess the efficacy of supine suspension reduction combined with percutaneous kyphoplasty （PKP） in the treatment of osteoporotic vertebral compression fractures （OVCF） in the thoracic and lumbar spine. Methods Forty-five OVCF patients （all with single vertebral fracture） were treated with supine suspension reduction and percutaneous vertebraplasty. The vertebral heights （anterior, central, posterior edge） and Cobb angle were compared before and after the operation. Results The back pain was significantly relieved after the operation. Vertebral heights （anterior and central edge） and Cobb angle were improved significantly. Conclusion Supine suspension reduction combined with PKP for OVCF in the thoracic and lumbar spine is associated with minimal invasion, safe, and better clinical efficacy. It is one of the ideal methods for OVCF.